Update on the evidence for functional rhinoplasty techniques

Abstract

Purpose of reviewFunctional rhinoplasty is a term that is commonly used to describe any technique used to address nasal obstruction in the nasal valve region. Etiology of nasal valve collapse differs based on the site. Internal valve collapse may be idiopathic or associated with previous rhinoplasty, trauma, or weakened cartilage in older patients. External valve collapse is usually idiopathic and less likely to be associated with previous surgery. Various techniques have been developed over time, and the data in support of functional rhinoplasty continues to increase. Recent findingsThis article discusses popular techniques currently in use as well as newer techniques that have been described over the past several years. In addition, there is a trend toward utilizing objective testing and validated assessment scales to assess post-operative changes. SummaryFunctional rhinoplasty utilizes a multitude of techniques to address nasal valve collapse. While high-level data is lacking, the current literature is in support of nasal valve correction to improve nasal breathing. Most importantly, the technique employed is unique for each patient.

Augmentation Rhinoplasty and Centrofacial Lipofilling: Our Experience (ARCL)

“…The art of rhinoplasty is constantly evolving. Although new surgical approaches, such as preservation rhinoplasty, have been developed in recent times, we believe that the open technique is the most appropriate in ethnic noses [14][15][16][17]. In fact, an open approach offers the best visualization, allowing accurate placement of the grafts.…”

“…In fact, an open approach offers the best visualization, allowing accurate placement of the grafts. An adequate aesthetic reconstruction could be more difficult and limited with classic intranasal techniques [15,16].…”

Augmentation Rhinoplasty and Centrofacial Lipofilling: Our Experience (Arcl)

“…Although new surgical approaches, such as preservation rhinoplasty, have been developed in recent times, we believe that the open technique is the most appropriate in ethnic nose. [18][19][20][21] In fact, an open approach offers the best visualization, allowing accurate placement of the graft. An adequate aesthetic reconstruction could be more difficult and limited with classic intranasal techniques.8, [19,20] Specifically, in augmentation rhinoplasty the use of a strong structural support by various extended spreader grafts (ESP) and septal extension graft (SEG) resulted in significantly better longterm results with maintenance of projection and reduced tip deformities.…”

“…[18][19][20][21] In fact, an open approach offers the best visualization, allowing accurate placement of the graft. An adequate aesthetic reconstruction could be more difficult and limited with classic intranasal techniques.8, [19,20] Specifically, in augmentation rhinoplasty the use of a strong structural support by various extended spreader grafts (ESP) and septal extension graft (SEG) resulted in significantly better longterm results with maintenance of projection and reduced tip deformities. For this reason, we recommend reconstruction with this kind of graft.…”